Search › Oregon › 101YP2500X
Kellie Supriano, M.S
NPI 1154662807 · on the registry since 2013
Practice
- Address
- 2931 Ne Broadway St
Portland, OR 97232 - Phone
- (503) 939-9482
- Organisation at this address
- Daniel C Donohue, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-07-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon